Kose Sukran, Olmezoglu Ali, Gozaydin Ayhan, Ece Gulfem
Department of Infectious Diseases and Clinical Microbiology, Tepecik Education and Research Hospital, Izmir, Turkey.
J Health Popul Nutr. 2011 Dec;29(6):652-5. doi: 10.3329/jhpn.v29i6.9903.
Hepatitis B virus (HBV) is one of the public-health issues worldwide. Approximately two billion people are infected with HBV, and about 350 million people are chronic carriers globally. About 3% of the world population is infected with hepatitis C virus (HCV). Oncology patients receiving packed red blood cell suspensions and other blood products usually are in the high-risk group for infections due to these viruses. The aim of the study was to detect the seroprevalence of hepatitis B and hepatitis C among chemotherapy patients at the Oncology Department of the Tepecik Education and Research Hospital. HBsAg, anti-HBs, anti-HBcIgM, anti-HBc total and anti-HCV assays were studied by enzyme immunoassay method (Diasorin, Italy) in serum samples of patients (n = 448) referred to the Department of Oncology of the Tepecik Education and Research Hospital during 1 June 2006-1 January 2007. Of the 448 patients, 19 (4.2%) were HBsAg-positive, and three (0.7%) had anti-HCV positivity. In this study, the seroprevalence of HBV was similar to previous data in Turkey. This could be due to widespread vaccination programmes. The seroprevalence of low anti-HCV may be because of controlled blood transfusion. Oncology patients should be monitored for their protective antibody levels against HBV, and they must be included in the vaccination programme. Their anti-HCV status should also be checked as well.
乙型肝炎病毒(HBV)是全球公共卫生问题之一。全球约有20亿人感染HBV,约3.5亿人为慢性携带者。世界人口约3%感染丙型肝炎病毒(HCV)。接受浓缩红细胞悬液和其他血液制品的肿瘤患者通常属于这些病毒感染的高危人群。本研究的目的是检测泰佩奇教育与研究医院肿瘤科化疗患者中乙型肝炎和丙型肝炎的血清流行率。采用酶免疫测定法(意大利索林公司)对2006年6月1日至2007年1月1日转诊至泰佩奇教育与研究医院肿瘤科的患者(n = 448)血清样本进行HBsAg、抗-HBs、抗-HBcIgM、总抗-HBc和抗-HCV检测。448例患者中,19例(4.2%)HBsAg阳性,3例(0.7%)抗-HCV阳性。在本研究中,HBV的血清流行率与土耳其之前的数据相似。这可能归因于广泛的疫苗接种计划。抗-HCV血清流行率较低可能是由于输血得到控制。应对肿瘤患者监测其针对HBV的保护性抗体水平,并将他们纳入疫苗接种计划。还应检查他们的抗-HCV状态。